Regional cerebral blood flow, clinical manifestations, and age in children with moyamoya disease.

Abstract:

:In children with Moyamoya disease, transient ischemic attacks often occur during hyperventilation, and the frequency of attacks usually decreases with advancing age. To elucidate the mechanism of the attacks, the regional cerebral blood flow was measured during rest and/or hyperventilation in children aged 3-16 with Moyamoya disease. Regional cerebral blood flow during rest was significantly higher in younger children with Moyamoya disease, and it progressively decreased with advancing age through childhood. During hyperventilation, regional cerebral blood flow decreased in all the children, although blood flow in younger children was still higher than that in the older children. Nevertheless, transient ischemic attacks were more readily precipitated by hyperventilation in the younger than in the older children. Cerebral metabolic demand is much higher in the first decade of life than in later decades. Therefore, it seems likely that even a moderate reduction in cerebral blood flow can cause metabolic impairment in young children. Such high cerebral metabolic demand may play an important role in the frequent occurrence of transient ischemic attacks in young children with Moyamoya disease.

journal_name

Stroke

journal_title

Stroke

authors

Tagawa T,Naritomi H,Mimaki T,Yabuuchi H,Sawada T

doi

10.1161/01.str.18.5.906

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

906-10

issue

5

eissn

0039-2499

issn

1524-4628

journal_volume

18

pub_type

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